On Dr Barkin's call in show, pcref.org, there is an excellent presentation on Color Doppler By Dr Bahn. He gives examples of how staging and treatment options change when Color Doppler is used to DX and stage PC. He also goes into new technologies in imaging such as Elastoplasty.

Well worth the time to view the presentation. He also gives his criteria for active survelience which has more data points than the Hopkins criteria.

JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

As patients on PCa we are spoon fed and not told about all the possibilities on all the parameters and testings, protocols, all choices available, etc. I am never surprised about PCa information, especially that is unknown to us or outside the box. Be more surprised about what a particular docdoes not mention to you and/or should have, that is a clue many times, that is likely missed by some of us.